NPIMap

Organization Active NPI

Heartland Pharmacy, Inc.

Doing business as Heartland Pharmacy Vital Care

  • Pharmacy
  • Sebring, FL
National Provider Identifier
1659382802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PH10353 Issued in FL
Legal business name
HEARTLAND PHARMACY, INC.
Doing business as
Heartland Pharmacy Vital Care
Practice address
6801 US Highway 27 N
E-7
Sebring, FL 33870-7840
Phone
(863) 385-2866
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
R Duncan
Title
Owner
Phone
(863) 385-2866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PH10353 FL Primary

Addresses

Primary practice location

6801 US Highway 27 N
E-7
Sebring, FL 33870-7840

Mailing address

PO Box 5047
Meridian, MS 39302-5047

Other identifiers 2

IdentifierTypeStateIssuer
P5570OtherFLBCBS
500504OtherBLACKLUNG

Other names 1

  • HEARTLAND PHARMACY VITAL CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Pharmacy Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6801 US 27 N
Ste E7
Sebring, FL 33870
Phone (863) 385-2866

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659382802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5047",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393025047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N",
            "address_2": "E-7",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707840",
            "telephone_number": "863-385-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-385-2866"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH10353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "P5570",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACKLUNG",
            "identifier": "500504",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEARTLAND PHARMACY VITAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.